Canton, MI

Regency at Canton

2-star overall rating with 2-star inspections with $96,482 in total fines with 6 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

45900 Geddes Road, Canton, MI

(734) 879-4100

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

141

Certified beds

Average residents

131

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Ciena Healthcare/Laurel Health Care

Operator or chain grouping

Approved since

2012-04-20

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

84 facilities

Chain averages 3 overall / 3 health / 3 staffing / 4 quality stars

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.47

Registered nurse staffing · state 0.77 · national 0.68

LPN hours / resident day

1.41

Licensed practical nurse staffing · state 0.88 · national 0.87

Aide hours / resident day

1.80

Nurse aide staffing · state 2.38 · national 2.35

Total nurse hours

3.68

All reported nurse hours · state 4.03 · national 3.89

Licensed hours

1.88

RN + LPN hours · state 1.65 · national 1.54

Weekend hours

3.23

Weekend nurse staffing · state 3.52 · national 3.43

Weekend RN hours

0.41

Weekend registered nurse coverage · state 0.49 · national 0.47

Physical therapist

0.09

Reported PT staffing · state 0.07 · national 0.07

Adjusted RN hours

0.50

CMS adjusted RN staffing hours

Adjusted total hours

3.87

CMS adjusted total nurse staffing hours

Case-mix index

1.30

Higher values indicate more complex resident acuity

RN turnover

27%

Annual RN turnover · state 41% · national 45%

Total nurse turnover

35%

Annual nurse turnover · state 44% · national 46%

SNF VBP

Value-based purchasing

Program rank

10,841

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

18.92

Composite VBP score used to determine payment impact.

Payment multiplier

0.9821

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

0

Baseline 22.72% · Performance 25.72% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

0

Baseline 4.88% · Performance 8.17% · Measure score 0 · Achievement 0 · Improvement 0

Total nurse turnover

5.21

Baseline 53.66% · Performance 42.40% · Measure score 5.21 · Achievement 5.21 · Improvement 3.41

Adjusted total nurse staffing

2.36

Baseline 4.12 hours · Performance 3.75 hours · Measure score 2.36 · Achievement 2.36 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.78%	10.72% 0.1 pts worse	No Different than the National Rate · Eligible stays 366 · Observed rate 12.02% · Lower 95% interval 8.61%
Discharge to community	64.75%	50.57% 14.2 pts better	Better than the National Rate · Eligible stays 386 · Observed rate 56.22% · Lower 95% interval 59.96%
Medicare spending per beneficiary	0.8	1.02 0.2 pts better
Drug regimen review with follow-up	89.32%	95.27% 6 pts worse	Numerator 209 · Denominator 234
Falls with major injury	1.28%	0.77% 0.5 pts worse	Numerator 3 · Denominator 234
Discharge self-care score	24.5%	53.69% 29.2 pts worse	Numerator 37 · Denominator 151
Discharge mobility score	29.14%	50.94% 21.8 pts worse	Numerator 44 · Denominator 151
Pressure ulcers or injuries, new or worsened	0%	2.29% 2.3 pts better	Numerator 0 · Denominator 234 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization	8.17%	7.12% 1 pts worse	No Different than the National Rate · Eligible stays 180 · Observed rate 8.89% · Lower 95% interval 5.01%
Staff COVID-19 vaccination coverage	7.36%	8.2% 0.8 pts worse	Numerator 12 · Denominator 163
Staff flu vaccination coverage	25.81%	42% 16.2 pts worse	Numerator 48 · Denominator 186
Discharge function score	25.83%	56.45% 30.6 pts worse	Numerator 39 · Denominator 151
Transfer of health information to provider	95.77%	95.95% 0.2 pts worse	Numerator 68 · Denominator 71
Transfer of health information to patient	95.92%	96.28% 0.4 pts worse	Numerator 141 · Denominator 147
Resident COVID-19 vaccinations up to date	28.79%	25.2% 3.6 pts better	Numerator 38 · Denominator 132

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	100.0%	95.0% 5 pts better	93.4% 6.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	98.8%	95.0% 3.8 pts better	95.5% 3.3 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 98.8%
Percentage of long-stay residents experiencing one or more falls with major injury	2.6%	3.1% 0.5 pts better	3.3% 0.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.1% · Q2 3.8% · Q3 1.3% · Q4 0.0% · 4Q avg 2.6% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	0.0%	4.1% 4.1 pts better	11.4% 11.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents who lose too much weight	4.7%	5.5% 0.8 pts better	5.4% 0.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.2% · Q2 4.5% · Q3 5.7% · Q4 4.5% · 4Q avg 4.7%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	26.2%	19.6% 6.6 pts worse	19.6% 6.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 25.0% · Q2 22.4% · Q3 25.7% · Q4 31.8% · 4Q avg 26.2%
Percentage of long-stay residents who received an antipsychotic medication	4.1%	16.5% 12.4 pts better	16.7% 12.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 7.3% · Q2 5.4% · Q3 1.8% · Q4 1.9% · 4Q avg 4.1% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.1% 0.1 pts better	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	19.5%	13.9% 5.6 pts worse	16.3% 3.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 21.6% · Q2 32.5% · Q3 15.0% · Q4 8.6% · 4Q avg 19.5% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	20.8%	11.7% 9.1 pts worse	14.9% 5.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 17.5% · Q2 23.3% · Q3 21.0% · Q4 21.7% · 4Q avg 20.8% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.3%	0.9% 0.6 pts better	1.0% 0.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.3% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	1.0%	1.7% 0.7 pts better	1.7% 0.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 0.0% · Q3 0.0% · Q4 2.7% · 4Q avg 1.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	26.7%	20.4% 6.3 pts worse	19.8% 6.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 29.5% · Q2 19.2% · Q3 34.7% · Q4 23.6% · 4Q avg 26.7%
Percentage of long-stay residents with pressure ulcers	11.6%	5.6% 6 pts worse	5.1% 6.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 10.2% · Q2 12.1% · Q3 16.4% · Q4 7.6% · 4Q avg 11.6% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	97.7%	82.8% 14.9 pts better	81.7% 16 pts better	Short Stay · 2024Q4-2025Q3 · Q1 97.0% · Q2 97.8% · Q3 98.5% · Q4 97.3% · 4Q avg 97.7%
Percentage of short-stay residents who had an outpatient emergency department visit	7.9%	11.5% 3.6 pts better	12.0% 4.1 pts better	Short Stay · 20240701-20250630 · Adjusted 7.9% · Observed 7.8% · Expected 11.0% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.7%	1.3% 0.6 pts better	1.6% 0.9 pts better	Short Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 0.9% · Q3 0.6% · Q4 0.0% · 4Q avg 0.7% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	88.0%	79.5% 8.5 pts better	79.7% 8.3 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 88.0%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	22.3%	24.2% 1.9 pts better	23.9% 1.6 pts better	Short Stay · 20240701-20250630 · Adjusted 22.3% · Observed 22.4% · Expected 24.0% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-06-25 · Fire 2025-06-25

6 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

3 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 2 Health 2024-06-13 · Fire 2024-06-13

6 health deficiencies

Top issue: Resident Assessment and Care Planning (2 deficiencies)

3 fire-safety deficiencies

Top issue: Egress (2 deficiencies)

Cycle 3 Health 2023-06-08 · Fire 2023-06-08

8 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-06-25

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2025-07-24

E · Potential for more than minimal harm 2025-06-25

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-07-24

E · Potential for more than minimal harm 2025-06-25

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2025-07-24

F · Potential for more than minimal harm 2024-06-13

K222 · Egress Deficiencies

Fire Safety

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2024-07-09

F · Potential for more than minimal harm 2024-06-13

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-07-09

E · Potential for more than minimal harm 2024-06-13

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2024-07-09

Inspection history

Recent health citations

J · Immediate jeopardy 2025-07-02

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-07-24

D · Potential for more than minimal harm 2025-07-02

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2025-07-24

D · Potential for more than minimal harm 2025-07-02

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2025-07-24

F · Potential for more than minimal harm 2025-06-25

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2025-07-24

D · Potential for more than minimal harm 2025-06-25

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2025-07-24

D · Potential for more than minimal harm 2025-06-25

F687 · Quality of Life and Care Deficiencies

Health

Provide appropriate foot care.

Corrected 2025-07-24

F · Potential for more than minimal harm 2024-06-13

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-07-09